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Published in: International Journal of Colorectal Disease 1/2013

01-01-2013 | Original Article

Intrastomal 3D ultrasound; an inter- and intra-observer evaluation

Authors: K. Strigård, A. Gurmu, P. Näsvall, P. Påhlman, U. Gunnarsson

Published in: International Journal of Colorectal Disease | Issue 1/2013

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Abstract

Background

The aim of this study was to determine intra- and interobserver reliability in 3D intrastomal ultrasound imaging of parastomal hernia and protrusion.

Method

A total of 40 patients were investigated. Two or three physicians evaluated the images twice, 1 month apart.

Results

Inter-observer agreement was 72 % with a kappa value 0.59. For the last 10 patients there was an agreement of 80 % with a kappa value of 0.70. Intraobserver agreement was 80 % for one observer and 95 % for the other. The learning curve levelled out at around 30 patients.

Conclusion

Considering the learning curve of 30 patients, 3D intrastomal ultrasound is a reliable investigation method. 3D intrastomal ultrasonography has the potential to be the investigation of choice to differentiate between a bulge, a hernia, or a protrusion.
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Metadata
Title
Intrastomal 3D ultrasound; an inter- and intra-observer evaluation
Authors
K. Strigård
A. Gurmu
P. Näsvall
P. Påhlman
U. Gunnarsson
Publication date
01-01-2013
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 1/2013
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-012-1526-3

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